Bloom Family Health & Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BLOOM FAMILY HEALTH & WELLNESS

Practice address

770 Old Liberty Rd Ste 3
Eldersburg, MD 21784-8500

Phone

(410) 970-8480

Fax

(855) 576-5073

NPI assigned

Mar 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Emily Lee, CRNPNPI 1760727655

Title

Family Nurse Practitioner

Phone

(410) 970-8480

Specialties & licenses 2

Addresses

Other names 1

• Bloom Family Health & Wellness, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Nicole Lee, CRNP

  • Family Nurse Practitioner
  • Eldersburg, MD
  • NPI 1760727655
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Carnegie, CRNP

  • Nurse Practitioner
  • Eldersburg, MD
  • NPI 1427719376
  Medicare reassignment Care Compare group NPD
• Claudia Marie Dorsey, CRNP

  • Gerontology Nurse Practitioner
  • Eldersburg, MD
  • NPI 1114814464
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1376303222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 OLD LIBERTY RD STE 3",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217848500",
            "telephone_number": "410-970-8480",
            "fax_number": "855-576-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 OLD LIBERTY RD STE 3",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217848500",
            "telephone_number": "410-970-8480",
            "fax_number": "855-576-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM FAMILY HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-970-8480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Family Health & Wellness, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bloom Family Health & Wellness, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Caitlin Marie Biemer, CHPT
• Steven Billet, M.D.
• Janet Elizabeth Blanks, PH.D.
• Carol Bleam, D.C.
• William Richard Bleam III, D.C.
• George Charles Bohle Jr., RPH
• Catherine S Bonny, LCSW-C
• Erich L Bonny, LCSW-C
• McKenna Boyce
• Randi E Braman, D.O.

• Primary Care Clinic/Center in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.